A tubal reversal, also known as tubal reanastomosis, is a surgery performed to reverse tubal ligation, which is a technique used to either tie off, clamp or cut the fallopian tubes to prevent pregnancy. The history of the tubal reversal dates back to the 1970s, when microsurgery combined with laporotomy was used to reattach the fallopian tubes with fine sutures. The pioneers included Victor Gomel of Canada, Kurt Swollin of Sweden, Allan DeCherny of the United States, Robert Winston of the United Kingdom and Jean Dubuisson of France.
The Advancement of Tubal Reversal Surgery
Modern surgical advancements have made the tubal reversal surgery more simplistic by using techniques such as a minilaparotomy or laparoscopy, which require smaller incisions. The Centers for Disease Control and Prevention (CDC) estimates 17 percent of women in the United States ranging in age from 15 to 44 years elect to have a tubal ligation. Depending on several factors, including age, medical condition, and the type of tubal ligation, health professionals report 50 to 75 percent of reversals are successful in reopening the fallopian tubes, but pregnancy is not guaranteed.
Considerations and Risks of Tubal Reversal Surgery
Individuals who are considering a tubal reversal will need to undergo medical testing to ensure there are no predisposing conditions that will eliminate candidacy for the elective surgery. As with all surgeries, potential risks should be considered to include scar tissue formation, increased chance of ectopic pregnancy and fallopian tube blockage.